Annex Wealth Management is a wealth advisor firm for physicians and dentists with high income, a late start on saving, student debt and often a practice to think about. Cash flow first: start from the monthly spending plan; the portfolio exists to fund it.
The firm serves clients from coast to coast, with reviews held online or by phone, from its office at 55 Market Place, Baltimore, MD 21202, United States. The client minimum is $500K in investable assets.
What Annex Wealth Management does for this reader
Annex Wealth Management helps clients connect spending, saving, investing, and major financial decisions. The starting point is practical: how much needs to leave the portfolio each month, which income sources are dependable, and which deadlines could change the plan.
That order matters for a physician or dentist who spent years in training, carries student debt, or owns a practice. A large income does not automatically create spare cash. Loan payments, payroll, equipment, taxes, and uneven practice income can all compete with retirement saving.
The firm serves clients from coast to coast. Reviews take place online or by phone, so the working relationship does not depend on being near Baltimore. Annex Wealth Management's office is at 55 Market Place, Baltimore, MD 21202, United States.
The firm states that it serves 490,000 clients and has $3.9 billion in client assets, as of 10/5/2026. Those figures describe the firm's stated scale; they do not tell you whether a particular recommendation fits your monthly spending or practice obligations.
- Physicians and dentists with high income
- Late starters on saving
- Student debt and practice decisions
- Clients with $500K in investable assets
Money beliefs that change the recommendation
Annex Wealth Management treats the monthly spending plan as the first useful fact. A portfolio can look impressive on paper and still be poorly arranged if selling investments is the only way to cover a predictable bill.
The firm also gives cash a specific job. Cash held for near-term spending is not competing with long-term investments; it can keep a client from selling during a bad market month. That does not make cash automatically best. Too much idle cash can reduce the amount invested for longer goals.
For illustration, consider a hypothetical dentist with a $600,000 portfolio and monthly spending of $8,000 after other income. If the plan calls for $48,000 in annual income draws, the first question is how to cover that amount and the near-term reserve. The next question is which account can provide it with the least tax trouble. A recommendation to change funds without checking those two questions has started in the wrong place.
Annex Wealth Management also puts taxes beside investment costs. A fund with a lower expense ratio may still be a poor switch if selling creates a large taxable gain. Investments can lose value, and you may receive less than you invested, so the plan has to account for both market risk and the cost of needing money at the wrong time.
- Monthly spending comes before portfolio design
- Liquidity has a job
- Tax cost belongs beside investment cost
- A practice is part of the cash-flow picture
What clients can expect to see and hear
Annex Wealth Management sets fees out in a written agreement before any work starts. The agreement gives the client a reference point for what is being provided and what the arrangement costs; the firm does not publish a fee figure on this website.
A recommendation can create a trade-off. Selling an investment may raise a tax bill. Moving money may change account protections or available investments. Using cash may reduce market exposure while also reducing the assets available for growth. Annex Wealth Management discusses the relevant conflict or cost before asking the client to act.
Communication should leave a usable record. A client should be able to identify the proposed action, the reason for it, the accounts involved, and the task still waiting on paperwork. Those details are more useful than a broad statement that a plan is being monitored.
The client retains the decision. An advisor can explain a proposed change and its likely effects, but the client decides whether to proceed. Tax and legal questions may require the client's tax professional or attorney; general education on this page is not individualized investment, tax, or legal advice.
- Written fee agreement
- Conflicts stated plainly
- Decisions recorded
- Questions welcomed
How a client decision gets made
The working process begins with information the client already has: account statements, the monthly spending plan, practice obligations, student-loan details, and relevant tax paperwork. Annex Wealth Management organizes those facts around the decision at hand instead of treating every account as a separate island.
The advisor proposes the action after checking the cash-flow need and the account rules. The client then asks questions, accepts the proposal, changes it, or decides to wait. A recommendation is not a command, and waiting can be sensible when the tax cost or paperwork is larger than the expected benefit.
Each stage produces something concrete. The table shows the usual handoff from facts to a recorded decision; exact paperwork varies with the account and the choice.
A hypothetical example makes the order visible. A physician wants to invest an extra $4,000 each month but expects a $30,000 practice tax payment in four months. A portfolio-first recommendation might invest all $4,000. A cash-flow-first recommendation reserves the tax payment, confirms the monthly spending need, and invests only the amount that remains available. The difference is not a promise of better returns. It is a decision built around a known deadline.
| Stage | What happens | What you receive |
|---|---|---|
| Facts | Review spending and accounts | List of open facts |
| Constraints | Check tax and account rules | Questions needing answers |
| Proposal | Advisor describes an action | Plain-language recommendation |
| Discussion | Client reviews trade-offs | Costs and risks explained |
| Decision | Client accepts or waits | Recorded next steps |
- 1. Gather the spending facts
- 2. Identify account and tax constraints
- 3. Propose a specific action
- 4. Discuss the trade-off
- 5. Record the decision
What an ordinary month looks like from your side
An ordinary month is not a stream of market commentary. You may receive a message about a pending account task, a question about a spending change, or a request for paperwork such as a year-end statement, a 1099-R, a benefits letter, or an RMD notice.
A review focuses on what changed since the last discussion. Did monthly spending rise? Did practice income arrive later than expected? Did a loan payment end? Did a tax form reveal a problem? Those answers can matter more than a short-term market move.
Meetings have a purpose stated in plain language. One may examine income draws and cash reserves. Another may cover a contribution, a taxable sale, or an account deadline. After the discussion, the client should know the decision, who owns the next task, and what information is still missing.
Paperwork is often the slow part. Custodian forms may need signatures, transfer details may need checking, and tax forms may arrive after an account action. Annex Wealth Management keeps the process moving by identifying the missing item rather than treating an unfinished form as a finished decision.
The firm is a fit for a reader who wants the money decisions connected. It may be less useful for someone seeking only a single investment pick with no discussion of spending, taxes, or account purpose.
- Messages tied to a decision
- Reviews focused on cash flow
- Year-end statements and tax forms
- Paperwork with an owner